DUBLIN BUSINESS SCHOOL APPLICATION FORM FOR EUROPEAN PARTNERS

Section 1: Personal Details

Type of Study: Undergraduate Postgraduate

Name of programme you wish to study at Dublin Business School:

First Name: Last Name:

Title: Gender:

Date of Birth: (dd/mm/yyyy)

Home Address:

Home Telephone: Mobile Telephone:

E-mail:

Country of Birth: Nationality:

Home University/College/School:

Parent/Guardian Name: Parent/Guardian Telephone:

Section 2: University Level Education

Name of Institution:

Title of Programme/Qualification:

Number of ECTS credits to date:

Date of Award:

Section 3: English Language Requirement

Do you have proof of your English language level? (e.g., TOEFL, IELTS, Dublin Business School English Test)

Yes No

If yes, result obtained:

Section 4: Postgraduate Applicants Only

Full Title of Undergraduate/Bachelor Qualification:

Name & Address of Institution/College:

Grade of Degree Awarded/Level Awarded (First Class Honours, Second Class Honours):

Awarding Body:

Date Awarded:

Length of Programme:

Section 5: Medical History/Disability

Do you suffer from any medical condition/disability which may impair your academic performance?

Yes No

If yes, please give details:

Declaration

I certify that the information given here is correct and I hereby undertake, if admitted to Dublin Business School, to comply with all regulations of the College.

Signed: Date:

Please state where you heard about Dublin Business School:

Data Protection Act 1988

1. As the protection of your data is important to us, we have included our policies regarding data in a data protection/privacy policy statement, which you can access by visiting www.dbs.ie

2. The information provided will be retained on computer for use in connection with your course of study at the College. It may also be used to contact you in connection with other courses that may be of interest to you.

This form should be fully completed and returned to the college with the following supporting documentation:» Academic Transcripts» Recognised proof of your English Language level» A copy of your passport/Identity Card

The Admissions Office, Dublin Business School, 13-14 Aungier Street, Dublin 2, IrelandT: 00353 1 4177500 • F: 00353 1 4177595 • E: admissions@dbs.ie • W: www.dbs.ie

This form should be fully completed and returned to the college with the following supporting documentation: Academic Transcripts Recognised proof of your English language level A copy of your passport / Identity card

Admissions Office, Dublin Business School, 13/14 Aungier St., Dublin 2, IrelandT: 00353 1 4177500 E: admissions@dbs W: www.dbs.ie